go back

Michigan rates for HCPCS 77058

Mri Breast Unilateral

Insurance Carrier
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$470.94 / $470.94 / $470.94
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$789.88 / $993.21 / $2,004.09
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $30.00 / $50.00